Limited effectiveness of intraoperative autotransfusion in major back surgery
2001 (English)In: European Journal of Anaesthesiology, ISSN 0265-0215, Vol. 18, no 12, 823-828 p.Article in journal (Refereed) Published
Background and objective: The efficiency of intraoperative autotransfusion in scoliosis surgery is poorly known but needs to be evaluated, not least because of the large blood losses in these patients. This is a retrospective analysis of transfusion requirements of 43 such patients. Methods: Records from 43 patients were studied. During surgery, the shed blood was salvaged and washed in an autotransfusion device (AT1000 Auto-transfusion Unit«) and a suspension of red cells was reinfused. Results: Fifty-eight per cent of the intraoperative blood loss was salvaged. The total blood loss during the patients' hospital stay was calculated from the haemoglobin balance, 24% of this loss was salvaged by the device. Moreover, 36 of the patients needed allogeneic blood transfusion. Conclusion: The efficiency of the autotransfusion device was relatively low in relation to the total extravasation, mainly because the postoperative blood loss is substantial.
Place, publisher, year, edition, pages
2001. Vol. 18, no 12, 823-828 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-26730DOI: 10.1046/j.1365-2346.2001.01005.xLocal ID: 11325OAI: oai:DiVA.org:liu-26730DiVA: diva2:247280